Patient Forms & Resources

We have provided some patient documents and tools below. Please contact us if you have any questions or you would like to request additional information. 

Patient Documents and Tools

• Safety Plan
• Diary Card
• Points Sheet
• Goals
• Emotional Rating Scale

Spanish Resources

• CAPHS Consent for Evaluation & Treatment
• CAPHS Behavioral Agreement
• CAPHS Diary Card
• CAPHS Parent Assessment of Care Survey

Provider Resources

• Referral Form for Outpatient Providers